摘要
目的调查广州市综合性三甲医院急诊护士对有创呼吸机使用维护保养认知现状,以探讨提高有创呼吸机使用维护保养有效管理策略。方法查阅国内外有关文献和咨询相关专家后,采用自制调查问卷对广州市8家综合性三甲医院共261名急诊护士进行有创呼吸机使用维护保养认知相关内容调查。结果急诊护士对呼吸机日常使用维护保养知识掌握程度的27个项目总均分为2.923分,处于中等水平,不同年龄、层级、职称、职务、工作年限急诊护士对呼吸机使用维护保养认知得分差异有统计学意义(P<0.05),多元线性回归分析显示,学历、层级和工作年限是护士对呼吸机日常使用维护保养认知的影响因素。结论医院应制订切合临床实际工作的培训目标,制定相关流程和制度,强化急诊护理人员有创呼吸机维护保养质量管理意识,提高呼吸机使用的准确率和降低仪器故障的发生率,保障呼吸机正常运作的同时减少呼吸机相关性肺炎的发生。
Objective To investigate emergency nurses’cognition of the use and maintenance of invasive ventilator in comprehensive3A hospitals in Guangzhou,so as to explore effective management strategies for improving the use and maintenance of invasive ventilator.Methods After consulting relevant literature and consulting experts at domestic and abroad,a self-designed questionnaire and a convenience sampling were used to investigate the cognitive related contents of the use and maintenance of invasive ventilator for261emergency nurses from8comprehensive3A hospitals in Guangzhou.Results The mean score of the mastery degree on the daily maintenance knowledge of the ventilator was2.923,which was at the medium range.There were statistically significant differences in the cognitive scores of emergency nurses with different ages,levels,titles,positions and years of work in the use and maintenance of ventilators(P<0.05).Multiple linear regression analysis showed that education,level and working years were the influencing factors of nurses’cognition of daily use and maintenance of ventilator.Conclusion The training objectives that are appropriate to the actual clinical work should be set,and the related procedures and regulations should be formulated.By strengthening the awareness of invasive ventilator maintenance quality management among emergency nurses,the accuracy rate of ventilator use will be improved and the rate of instrument failure will be reduced,which can ensure the normal operation of the ventilator and reduce the incidence of ventilator-associated pneumonia.
作者
蔡婷
CAI Ting(Emergency Ward, Guangzhou Red Cross Hospital, The Affiliated Hospital of Medical College of Jinan University, Guangzhou Guangdong 510220, China)
出处
《中国医疗设备》
2018年第12期171-174,共4页
China Medical Devices
关键词
急诊护士
有创呼吸机
维护保养
使用准确率
医疗设备故障率
emergency nurses
invasive ventilator
maintaining
using accuracy rate
medical equipment failure rate
